Masonic and Eastern Star Home of North Carolina, Incorporated
NPI #1548230188 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1548230188
- Entity Type
- Organization
- Organization Name
- Masonic and Eastern Star Home of North Carolina, Incorporated
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 25, 2006
- Last Updated
- May 22, 2014
Practice Location
- Address
- 700 S HOLDEN RD
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27407-2321
- Phone
- (336) 299-0031
Authorized Official
- Name
- MR. EUGENE JERNIGAN
- Title
- CHAIRMAN, BOARD OF DIRECTORS
- Phone
- (336) 299-0031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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